Doc Ac Group LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DOC AC GROUP LLC

Practice address

19880 N US Highway 441
High Springs, FL 32643-7202

Phone

(386) 454-7612

Fax

(386) 200-5998

NPI assigned

Sep 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Austin Paul ConnerNPI 1003054800

Title

Owner

Phone

(850) 418-8588

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mayflower Assisted Living, The Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Austin Paul Conner Sr., R.PH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Pensacola, FL
  • NPI 1003054800
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1093485658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2875",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326552875",
            "telephone_number": "386-454-7612",
            "fax_number": "386-200-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19880 N US HIGHWAY 441",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326437202",
            "telephone_number": "386-454-7612",
            "fax_number": "386-200-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC AC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-418-8588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "9545",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayflower Assisted Living, The",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim Marie Davidson, M.D.
• Amanda De Armas
• Ian C Dennis, DMD
• Developmental Therapy Services
• Bahram Dideban, M.D.
• Valerie Edmands, OTR
• Erika Danielle Equizi, D.C.
• Jonnathan Alberto Estrada, MA
• Courtney Arielle Everson
• Rebekkah Sandra Faul

• Assisted Living Facility in High Springs, FL
• Providers in High Springs, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.